t rare diseases t never seen or diagnosed by today’s clinicians t non-traditional routes of...
TRANSCRIPT
Rare Diseases Never Seen or Diagnosed by Today’s
Clinicians Non-traditional Routes of Infection Emerging Patterns of Resistance Increased Virulence
Bioterrorism: Bioterrorism: Challenges of TrainingChallenges of Training
The Biological Terrorist The Biological Terrorist SpectrumSpectrum
Lik
elih
oo
d o
f O
cc
urr
en
ce
Lik
elih
oo
d o
f O
cc
urr
en
ce
Mass CasualtyMass Casualty Devices/AgentsDevices/Agents
Numbers of CasualtiesNumbers of Casualties
HoaxesHoaxes
• Classical AgentsClassical Agents• State SponsorshipState Sponsorship
• Many AgentsMany Agents• Individual/GroupIndividual/Group
Non-Mass CasualtyNon-Mass Casualty Devices/AgentsDevices/Agents
Screensaver Intervention:Screensaver Intervention:16.7% increase in correct responses
38.8
52.459.1
75.8
0
10
20
30
40
50
60
70
80
% C
orre
ct
Pre-EDPost-ED
Baseline Intervention
Web Site UsageWeb Site Usagewww.bioterrorism.uab.edu
Weeks 1-1922 Oct 2001-28 Feb 2002
12,180 Unique Visitors 580,300 Total Hits 70 Countries 883 CME certificates issued
Neisseria meningitidis Bacillus anthracis
Public Health Preparation=Bioterrorism Preparation
Naturally Occurring Bioterrorism
“ “Dual-Use”Dual-Use”
First Point of Care:Emergency MedicinePrimary Care Providers:
Internal MedicinePediatricsOb/GynFamily Practice
Hospital Infection ControlInitial Diagnostics:
PathologyRadiology
Consultative Specialties:Infectious DiseasePulmonology and Critical CareDermatologyNephrologySurgical SubspecialtiesOther Medical Subspecialties
Medical SpecialtiesMedical Specialties
Agents of ConcernAgents of Concern
Category A:SmallpoxAnthraxPlague
TularemiaVHF’sBotox
Category B:Q fever
BrucellosisGlanders
VE, WEE and EEERicin toxin
Epsilon toxinStaph enterotoxin B
Category C:Nipah virusHantavirus
Tick-borne HF’sTick-borne Encephalitis
Yellow feverMDR TB
Link between anthrax, hijackers probed
October 9, 2001 Posted: 4:41 PM EDT (2041 GMT)
WEST PALM BEACH, Florida (CNN) -- Federal officials said Tuesday their investigation into a deadly anthrax infection in Florida included a closerlook at forensic evidence gathered in the weeks since the September 11 terrorist attacks, especially items traced to the suspected hijackers, such as luggage,documents and cars.
The bacteria is blamed for the death of photo editor at the supermarket tabloid The Sun. A mailroom employee also tested positive for exposure to anthrax, but is not exhibiting symptoms of the disease.
Elsewhere in Florida, officials Tuesday were checking reports of a "white powdery residue" in the mail of two locations in Naples, on the west coast. Reports ofpossible anthrax virus in Weston and Deerfield Beach, on the east coast, proved unfounded.
October 9, 2001, CNN
